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RRC260110-00 SOUTHEASTHEALTH dba MERCY HOSPITAL SOUTHEAST (Active)
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Main Details
Name
SOUTHEASTHEALTH dba MERCY HOSPITAL SOUTHEAST
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC260110-00
Medicare Provider Number
260110
Additional Details
Current Program Status
Active
Registration Date
7/7/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/11/2023
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Mercy
Krista B Berry, Chief Financial Officer
(573) 331-6028
Primary Contact
Mercy Shared Services
Mike Loftus, Director-Hospital Pharmacy
(417) 820-3487
Addresses
Street Address
1701 LACEY STREET
CAPE GIRARDEAU, MO 63701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2013; Terminated 10/1/2019; Reinstated 10/1/2023.
09/08/2023
April 2025
April 2025
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